Doctor profile · Federal record
Dr. Jack Richard
Physician Assistant · Providence, RI
- NPI 1730926940
- Accepts Medicare
- 2 yrs in practice
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
33 Staniford St
Providence, RI 029053105
(401) 421-8800
fax (401) 421-2492 - Mailing address
-
36 Whetstone St
West Newbury, MA 019851432
Credentials & registration
- NPI registered
- July 2024 — 2 yrs on file
- Profile last updated
- October 28, 2024
- Year of graduation
- 2024 — 2 yrs since
- Specialty taxonomy
- 363A00000X — NUCC code
- State license (1)
- Rhode Island #PA01719
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1730926940. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$174
Transactions
3
Manufacturers
3
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Phathom Pharmaceuticals, INC. | 1 | $124.98 | |
| Takeda Pharmaceuticals U.S.A., INC. | 1 | $31.26 | |
| Gilead Sciences, INC. | 1 | $17.37 |
By nature of payment
Hospital affiliations
Frequently asked questions
What is Dr. Jack Richard's medical specialty?
Dr. Jack Richard practices Physician Assistant in Providence, RI.
Where does Dr. Jack Richard practice?
Dr. Jack Richard practices at 33 Staniford St, Providence, RI 029053105. Office phone: 4014218800.
What is Dr. Jack Richard's NPI?
Dr. Jack Richard's National Provider Identifier (NPI) is 1730926940, issued by NPPES.
Does Dr. Jack Richard accept Medicare assignment?
Yes. Dr. Jack Richard accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.